PHILIPS BV Pulsera User Manual

Mobile C-arm systems Functional Description

BV Pulsera

Understanding you

2

Contents

3 BV Pulsera

4 System overview

6 Advanced functionality

Mobile C-arm stand
X-ray generation
X-ray collimation
Imaging system
X-ray modes
Image processing
Extended image post-processing
Vas cu la r i ma gi ng fu nc ti on ali ty
Mobile View Station
System controls

- User interface on C-arm stand

- User interface on Mobile View Station

- Handheld remote control
Customer support

10 Options

Laser alignment tool
Laser aiming device
Medical DVD Recorder
Video paper/transparency printer
Video paper printer
ViewForum Surgical Workstation
Fully integrated DICOM solution
18" color LCD Monitors
Touchscreen
LCD height adjustment

11 Accessories

C-arm spring bow for sterilizable covers
Sterilizable covers
Cassette holder

14 Technical specifications

Understanding you

The BV Pulsera is a powerful mobile fluoroscopy
system for the most challenging surgical-and
interventional procedures. The powerful pulsed
technology allows you to go the distance in longer
studies, capture moving antomy and see through
your largest patient
SmartVision, a highly advanced, full digital 1 Kx1K
imaging chain in combination with unique state-of­the-art image processing algorithms (including
BodySmart and Automatic Shutter Positioning)
provides you with high quality images at the lowest
possible dose.

The ultra compact Mobile View Station perfectly
fits in the surgical workflow. The unique intelligent
viewing concept of the Mobile View Station
provides the user with easy transportation, easy and
intuitive system set-up and optimal viewing
capabilities.

The interventional powerhouse comes with a 9"or
12"image intensifier, and can handle the most
advanced interventions as well as all routine and
special procedures:

•Cardiovascular procedures
(peripheral/abdominal/cerebral, interventions)

•Orthopedic surgery (fractures, fixation)

•Abdominal surgery (cholangiography,
urological exams)

•Neurosurgical procedures (pain
management, vertebroplasty)

•Thoracic surgery

Whatever your situation, the BV Pulsera shows
everything you need to see during surgical- and
interventional procedures.

3

BV Pulsera

4

System overview BV Pulsera

Automatic cable deflectors

Mobile View Station

Streamlined user
interface

Handswitch

Live monitor color LCD

Reference monitor color LCD

Touchscreen

Height adjustment

Cable storage
(at MVS)

Video paper/

transparency printer

C-arm
stand brake

ViewForum Surgical

Workstation

MDVDR

Fully integrated

DICOM solution

500
5,000
10,000
image storage

Video-Out

Video-In

USB

Cable storage
(at MVS)

5

Ergonomic handgrips ensure
easy parallel movement

Ergonomic C-arc handles

C-arm stand

1Kx1K CCD/TV camera

X-ray tank unit
Rotating anode with efficient cooling

Integrated laser alignment tool

Collimator

Extended rotation

Fully counter-balanced C-arm

Ultra compact foot for optimal maneuverability

Compact Image Intensifier

6

Advanced functionality

Everything you want to do

The BV Pulsera consists of a mobile C-arm stand
and a Mobile View Station. It offers a choice of X­ray and imaging functionality, as well as a variety of
options and accessories. The functionality of the
complete system is described in the following pages
and the text that is important for you depends on
the system configuration chosen.

Mobile C-arm stand

•Ultra compact foot including pushbar and
handles for easy maneuverability and positioning
of the stand.

•Compact, counterbalanced C-arm provides all
required projections.

•Extended rotation: C-arm rotates a full 135º

•C-arm has a very low lateral position.

•Rear wheel steering concept for easy
maneuverability and positioning of the stand

•Dedicated parallel movement with ergonomically
designed handgrips for easy positioning alongside
operating table.

•Source to Image Distance (SID) is 100 cm.

•Streamlined user interface for easy control during
procedures.

•Cable deflectors brush aside any floor cables.

•System includes footswitch, handswitch,
radiation indicator.

•Remote control

•Laser alignment tool

•Ergonomically designed C-arc handles guarantee
easy C-arc positioning.

X-ray generation

•Rotating anode X-ray tube with excellent cooling
rate for the most demanding interventional
procedures.

•Pulsed Acquisition Mode

•Pulsed Fluoroscopy Mode

•Because of the integrated pre-filter, the compact
converter X-ray generator ensures a homogeneous
X-ray spectrum with the lowest possible skin
radiation.

•BodySmart will find the region of interest, define
the optimal measuring field and follow the region
of interest, ensuring optimal kV/mA settings and
resulting in the best possible image quality.

•Anatomically Programmed Fluoroscopy (APF)
sets fluoroscopy parameters automatically,
providing consistent image quality for every
examination type.

•Automatic High Penetration for optimal image
quality in heavy objects even in the steepest
projections e.g., lateral hip.

C-arm steering with parallel movement for positioning alongside
operating table

The ultra compact foot
ensures easy maneuverability
and positioning of stand.

7

X-ray collimation

•Full lead shutters can be rotated and moved
together or independently to provide real
protection against direct radiation and thus
reduce scatter radiation.

•An additional beam filter (of 0.1 mm Cu) reduces
patient and clinical staff skin dose by 40% over
conventional filters.

•Shutters and Iris can be set on Last Image Hold.

•The Iris collimator limits the X-ray beam to the
actual field of the image intensifier

•Automatic Shutter Positioning for functionality
that will position the shutters according to the
region of interest with one touch of a button

Imaging System

•Choice of two triple-mode, image intensifier
configurations:

-23/17/14 cm (9/7/5").

-31/23/17 cm (12/9/7").

•Compact CCD/TV camera

•Image rotation digital, live and on Last Image
Hold

•Carbon fiber X-ray grid.

•Digital rotation and mirroring up/down and
left/right

•1 K2 imaging throughout whole imaging chain

X-ray modes

•Low Dose Fluoroscopy with Last Image Hold.

•High Definition Fluoroscopy with Last Image
Hold.

•Real pulsed fluoroscopy (12.5 pulses/second)
providing low dose motion blur-free fluoroscopic
images.

•Half- and quarter dose pulsed fluoro modes
reduce dose up to 75%.

•SharpShot digital exposure mode for diagnostic
quality images and archiving purposes ld.

•Radiographic mode for cassette exposures.

•Image grab

Image processing

SmartVision, a highly advanced, full digital 1Kx1K
imaging chain in combination with unique state-of­the art image processing functions ( like
BodySmart, Automatic Shutter Positioning,
advanced noise reduction algorithms) includes:

•Dedicated 12-bit image pipeline processor.

•Adaptive temporal recursive filtering for noise
integration

•Vignette correction

•Dynamic movement detection to reduce motion
blurring.

•Real-time 2D edge enhancement, contrast, and
brightness control

•Automatic contrast and brightness on the Mobile
View Station

•Annotation.

•Video invert.

Extended image post-processing

•Zoom and roam: 200% real-time magnification
on any section of an image.

•Measurement function for precisely quantifying
lengths and angles in an image.

•Electronic shutters to block out over-exposed
image areas.

Image post-processing functionality availability on
the left monitor of the MVS . This functionality
provides easy access to the different menus,
performing patient administation or post­processing on acquired images, with a tip of your
finger.

8

Advanced functionality

Vas cular imaging functionality

•Subtracted fluoroscopy mode displays images in
subtracted mode.

•Trace-subtract shows maximum opacification of
vasculature using CO2 or iodine contrast.

•ViewTrace creating a trace image, post processed

•Roadmap images support catheter guidance.

•SmartMask reduces dose and contrast medium
usage by re-using previously acquired mask
images for roadmapping

•Remask lets you reselect the best image in your
run as a mask image for contrast runs.

•Landmarking highlights background anatomy for
reference.

•Real-time pixel shift compensates for movement
artifacts.

•Subtraction on/off simplifies the orientation for
subtracted images or during roadmap procedures.
(Remote control, MVS)

Vas cular image

The Vascular Package, which includes subtraction,
can easily be combined with Extended Processing
functions such as Zoom and Measure

The Vascular Package, which includes subtraction,
can easily be combined with Extended Processing
functions such as Zoom and Measure

Choose either a 9"or 12" triple-mode image intensifier,
to match your applicational requirements

9

Mobile View Station with unique
intelligent viewing concept

The ultra compact Mobile View Station perfectly fits
in the surgical workflow. The unique intelligent
viewing concept of the Mobile View Station provides
you with easy transportation, easy system set-up,
flexible monitor positions and extended viewing
capabilities. When the Mobile View Station is in the
OR, patient demographics can easily be entered
manually or retrieved via the hospital network. After
entering these data, the monitors can be rotated and
the clean side of the MVS can be positioned as close
as possible to the operating table and operating staff.
Depending on the way you work – standing or
seated- excellent viewing is guaranteed by the height
adjustment possibilities of the monitors. After the
procedure is finished, you simply turn the monitors
180 degrees and you can post-process the images and
send the to the PACS.

Two different types of LCD monitors can be
provided:

•18" standard color LCD monitors providing
optimal image quality

•18" high brightness color LCD monitors
providing superb image quality.

•Optionally a height adjustment for the monitors
is available.

Height of the LCD monitors can be
increased/decreased with 25 cm (10”). This stepless
height adjustment can be done manually and will
bring ergonomical operation, easy transportation
and easy storage

•Designed to accommodate paper/transparency
printer, Medical DVD Recorder, ViewForum
Surgical Workstation and a fully integrated
DICOM connectivity solution.

•On top of the standard 500 images, the following
memory extensions are available:

-5,000 images on hard disk (8 frames/second).

-10,000 images on hard disk (25 frames/second).

System controls

A variety of intuitive system controls provide the
utmost flexibility in controlling procedures.

User Interface on C-arm Stand

•Streamlined user interface for easy control during
procedures. Includes pre-set Anatomically
Programmed Fluoroscopy parameters (APF).

•Workflow oriented flat panel shows functional
separation of keys and can be easily cleaned.

•Choice of language is incorporated into the
system (English/French/Spanish/Swedish/
German)

10

Advanced functionality

User Interface on Mobile View Station

•Vequion competent user interface consisting of
on-screen display and alphanumeric keyboard
with touchpad.

•Touchscreen option for the left monitor. Easy
access to the different menus, performing patient
administation or post-processing on acquired
images, with a tip of your finger . Touchscreen is
compatible with the High Brightness and
Standard color LCD monitors.

•Multi-patient database provides fast access to
clinical images and patient data.

•Image handling can be controlled via remote
control, C-arm stand, or Mobile Viewing Station.

•Choice of language is incorporated into the
system. (English/French/Spanish/Swedish/
German)

•DICOM functionality can be operated at the
Mobile View Station.

Safer treatment environment

With every new system Philips Medical Systems
look at how we can incorporate better shielding and
improve our X-ray exposure to further reduce dose.
A number of Philips unique features help drastically
lower dose during procedures:

•Unique beam filters reduce patient skin dose by
40% over conventional filters.

•Pulsed fluoro modes (1/2 dose and (1/4 dose
modes) reduce dose up to 75%.

•Independently movable lead shutters provide
better radiation protection than semi-transparent
shutters.

•SmartMask saves dose and contrast medium by
letting you re-use previously acquired subtracted
and non-subtracted images as masks for
roadmapping.

•The system lets you adjust the collimator,
shutters, and image orientation during Last Image
Hold without applying radiation.

•Automatic Shutter Positioning will position the
shutters according to the region of interest, with
one touch of a button.

11

Handheld Remote Control

The remote control unit is a handheld infrared
keypad used to control the main image handling
functions. For sterile operation, it can be used in a
transparent sterile plastic cover. The functions
include:

•Run loop

•Overview run/exam

•Retrieve previous image/run

•Retrieve next image/run

•Park image on reference monitor

•Protect image/release image

•SmartMask

•Fluoroscopy mode selection

•II-format selection

•Subtraction on/off

•Image grab

Customer support

Philips’ ongoing commitments to develop future­safe technology means that your BV Pulsera system
can be kept up-to-date throughout its lifecycle,
embracing emerging applicational demands, and
keeping up with advances in networking and PACS

The Philips CUSTOMerCARE service programs
offer a wide and flexible choice of equipment
maintenance services, clinical education, financing,
remote support, product upgrading and
beyondgive the power of choice to keep you
BV Pulsera at peak performance.

Remote control provides full control
over X-ray modes and image handling

12

Options

Handy extras

Laser alignment tool

The Laser Alignment Tool is an optional
positioning device integrated into the X-ray tank
unit. It projects an image of a cross on the patient
indicating the center of the X-ray beam, which
allows the C-arm to be precisely positioned using
the least possible radiation (e.g., for locking nail
procedures).

Laser Aiming Device

The Laser Aiming Device is an optional positioning
device for use at the Image Intensifier side.

Medical DVD Recorder

Medical DVD Recorder for automatic recording
clinical images on a DVD (up to 2 hours). Both
static and dynamic images can be recorded. Review
of images on BV family system or a standard PC.

Video paper/transparency printer

Thermal multi-media printer for printing images
(multi-format) from live monitor onto paper or
blue transparency.

Video paper printer

Thermal printer for printing images from live
monitor on paper. Hard copies of clinical images
can be made during or after examinations.

ViewForum Surgical Workstation

A workflow enhancer bringing extra efficiency to
the OR procedures providing :

•An intuitive multi-purpose platform for handling
multi-modality images

•A stand-alone or integrated solution

•DICOM Query and Retrieve/USB storage

The ViewForum Surgical Workstation can be
extended with the following options:

•MIP/MPR

•Procedure Reporting Package

•DVD DICOM store

Fully integrated DICOM solution

All BV family systems can be equipped with Philips
Integrated DICOM solution which transfers
images from the BV family onto the hospital
network in a DICOM Secondary or a DICOM XA
format. The Standard DICOM package supports
the DICOM Print and DICOM Store.
The Advanced DICOM package supports
Modality Worklist Management, Modality
Performed Procedure Step and Storage Commit.

Color LCD Monitors

High contrast images can be obtained via the
standard or high brightness 18" color LCD
monitors.

To u c h s c r e e n

Speeding up workflow with touchscreen added to
the (left) monitor. The Vequion competent
graphical user interface allows easy patient
administation (through different menus) or post
processing of the acquired images, with the tip of
your finger.
Touchscreen is compatible with the standard and
high brightness color LCD monitors.

LCD height adjustment

This height adjustment can be done manually. The
adjustment is stopless, meaning that the monitors
can be positioned at any desired height between the
lowest and highest position (height adjustment of
the LCD monitors is possible with 25 cm).

13

Accessories

Making work easier

C-arm spring bow for sterilizable covers

The spring bow holds the sterilizable covers of the
C-arm in position while allowing free movement of
the C-arm.

Sterilizable covers

To help maintain optimal levels of hygiene and
sterility in the surgical environment, sterilizable
drapes are provided for shielding the X-ray tank
unit, image intensifier, and C-arm. Both sterile
transparent covers and green fabric covers are
available. The green covers are are made of lint-free
fabric (35% Trevira, 65% cotton) and are resistant
to boiling.

Cassette holder

The cassette holder is suitable for a standard cassette
or a grid-cassette. The holder accommodates two
cassette sizes: 24 x 24 cm and 24 x 30 cm. The
cassette holder can be rotated a full 360° around the
image intensifier field.

The cassette holder can be rotated a full 360°
around the image intensifier field

Technical Specifications

X-ray tube / tank unit

• Tube type Rotating anode

• Nominal focal spot values (IEC 336) 0.3 IEC and 0.6 IEC

• Nominal X-ray tube voltage 120 kV

• Maximum anode heat content 222 kJ = 300 kHU

• Anode cooling capacity 52 kJ/min. = 70 kHU/min.

• Maximum housing heat content 1350 kJ = 1900 kHU

• Inherent filtration 1.0 Al eq.

• Additional filtration 3 mm Al + 0.1 mm Cu

Collimator unit

Iris collimator

• Type Circular opening, lead iris leaves

• Indication During LIH (and also on image)

Shutters

• Type 2 independently movable real lead shutters with steel wedge tip

• Rotation 360°

• Indication During LIH (and also on image)

X-ray generator

• Generator type 80 KHz High Frequency converter, Constant Potential (CP)

generator, micro-processor controlled

• Max. generator output 7.5 kW

• Max. X-ray tube voltage 120 kV

• Max. X-ray tube current 100 mA

Continuous fluoroscopy

• kV range 40 to 120 kV

• mA range for Low Dose Fluoroscopy mode 0.10 to 8.3 mA (up to 10 mA during Auto High Penetration)

• mA range for High Definition Fluoroscopy mode 0.24 to 20.0 mA

Pulsed Fluoroscopy

• kV range 40 to 120 kV

• mA peak range 0.4 - 12 mA

14

15

• Pulse widths 24, 40 ms

• Pulse rate 12.5 pps

Half Dose Fluoroscopy

• kV range 40-120 kV

• mA peak range 0.4 - 12 mA

• Pulse widths 10, 16.6, 24 and 40 ms

• Pulse rate 12.5 pps

Quarter Dose Fluoroscopy

• kV range 40-120 kV

• mA peak range 0.4 - 12 mA

• Pulse widths 10, 16.6, 24 and 40 ms

• Pulse rate 6.25 pps

Pulsed Exposure

• kV range 40 - 110 kV

• mA peak range 2.0 to 60.0 mA

• Pulse width 8.0, 9.5 and 11.1 ms

• Pulse rates 3- 30 pulses per second

Sharpshot

• kV range 40 - 110 kV

• mA range 0.90 to 75.0 mA

• Time range 120 ms to 460 ms

Radiography

• kV range 40 - 110 kV

• mA range 60 mA fixed

• mAs range (R’10 series from ISO 497) 3.2 to 125 mAs

Detection 360°

• Image intensifier type Triple mode 9'' HRC / Triple mode 12''

• Nominal II formats 32, 22, and 17 cm (12'', 9'', and 7'')

23, 17, and 14 cm (9'', 7'', and 5'')

16

Technical Specifications

• Entrance screen = Input screen Cesium Iodine

• Detection Quantum Efficiency (DQE) 9": 58

typical [%] according to IEC 1262-5 12'': 65

• Grid type Circular,carbon fiber; 60 lines/cm Ratio = 1:10 at FFD = 100 cm

• TV camera type 1024 x 1024 Interline transfer CCD; high resolution

• Image rotation Digital, Live and on LIH

• Image reversal Yes Digital up/down and left/righ, Live and on LIH

• Automatic anatomical measuring field Yes with ‘BodySmart’

TV monitor

• Type: Standard Color LCD monitors

Extra high resolution, high contrast , extra high brightness, 18"

screen size,TFT technology,resolution 1280x1024 (hxv), 250cd/m

2

• High Brightness Color LCD monitors

Extra high resolution, high contrast , extra high brightness, 18"

screen size,TFT technology,resolution 1280x1024 (hxv), 500cd/m

2

Image storage and processing

• Digital image processor type Dedicated 12 bit video pipeline processor

• Display image matrix size 1024 x 1280 x 8

• Image storage capacity and max. storage rate 10,000 images max. 30 frames/second

5,000 images max. 8 frames/second

500 images max. 5 frames/second (standard)

• Patient data handling Multipatient database

• Image processing 2D Edge enhancement (real-time and post processing),Windowing

(real-time and post processing),Adaptive Temporal Recursive noise

reduction, Movement detection, Mosaic, Replay,Annotation

• Processing options Subtraction, Roadmapping, Remasking,Trace (max. opacification),

ViewTrace, Trace white (CO2 imaging), Memory roadmapping

(SmartMask)

Geometry

• Longitudinal movement 20 cm (7.9")

• Swivel range ± 10°

• Vertical movement 50 cm (+44 cm/-6 cm) Motorized (19.8", +17.3"/- 2.5")

• Rotation ± 180°, with safety stop at ± 135°

• Angulation (orbital movement) +90°, -25°

17

• Angulation (orbital movement) option +90°, -45°

• Source to image distance (SID) 99.5 cm (39.2")

• Free space within C-arc 78 cm (30.7")

• C-arc depth 61 cm ( 24.0")

• Brakes for all movements Yes, manual

• Steering rear wheel

• Parallel movement Via rear wheel control

• Cable deflectors Yes

• C-arm stand weight 9": 305 kg (672 lb) ,12": 310 kg (683 lb)

• C-arm stand length 9": 193 cm, 12": 193 cm (76")

• C-arm stand width 81 cm (31,9")

• C-arm stand height 9'': 174 cm (68.5"), 12'': 183 cm (72.0")

• Mobile view station depth 70 cm (27.6")

• Mobile view station width 91 cm ( 35.8"), 70 cm with monitors folded

• Mobile view station height 188 cm ( 74.0")

Power supply

• Input voltage 110-240 V +/- 10%

• Frequency 50/60 Hz

Options

• Laser alignment tool Yes

• Laser aiming device Yes (9''only)

• Video paper/transparency printer Yes

• Standard DICOM package Yes (supports DICOM print, DICOM store)

• Advanced DICOM package Yes (incl. MWL, MPPS, SC)

• Sterile covers Yes

• Detachable cassette holder Yes

• Flat screen LCD monitors Yes

• Touchscreen Yes

• LCD Height adjustment Yes (25 cm /10”)

• ViewForum Surgical Workstation Yes (supports Multi Modality Image Query/Retrieve)

18

Dimensions BV Pulsera

91

70

188

25

45 77

9" 179-221

12" 186-235

102 44

67

61

123 - 143

80

6

12

39

9" 30

18

6

20

12" 38

Dimensions in cm.

9" system

19

81

41

10° 10°

9" 196

108 - 151

38

53

12" 61

9" 55

74 - 124

4

5

°

(

o

p

t

i

o

n

)

25°

90°

12" system
Dimensions in cm.

Philips Medical Systems is part

of Royal Philips Electronics

Interested?

Would y ou l ike t o k now m ore a bo ut o ur
imaginative products? Please do not hesitate to
contact us. We would be glad to hear from you.

On the web

www.medical.philips.com

Via e-mail

[e-mail]

By fax

[phone]

By postal service

Philips Medical Systems

Global Information Center

PO Box 1286

5602 BG Eindhoven

The Netherlands

Asia

Tel: [phone]

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Tel: [phone]

Latin America

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North America

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© Koninklijke Philips Electronics N.V. 2005
All rights are reserved. Reproduction in whole or in
part is prohibited without the prior written consent
of the copyright holder.

Philips Medical Systems Nederland B.V. reserves the
right to make changes in specifications and/or to
discontinue any product at any time without notice
or obligation and will not be liable for any conse­quences resulting from the use of this publication.

Printed in The Netherlands.
4522 962 08181/718 * DEC 2005